A review of cost‐effectiveness, cost‐containment and economics curricula in graduate medical education

Varkey, Prathibha; Murad, M. Hassan; Braun, Chad S.; Grall, Kristi J.H.; Saoji, Vivek

doi:10.1111/j.1365-2753.2009.01249.x

Cited by 37 publications

(37 citation statements)

References 68 publications

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“…26 A more recent systematic review of health economics, cost-containment, and cost-effectiveness curricula in graduate medical education concluded that cost curricula in graduate medical education among internal and family medicine, surgical, pediatric, and emergency medicine residents are lacking. 27 Our study examines 1 subspecialty, PEM, and finds cost education in fellowship training still insufficient.…”

Section: Discussionmentioning

confidence: 99%

Evaluating Cost Awareness Education in US Pediatric Emergency Medicine Fellowships

Lee¹,

Chernick²,

Sawaya³

et al. 2012

Pediatric Emergency Care

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Section: Discussionmentioning

confidence: 99%

Evaluating Cost Awareness Education in US Pediatric Emergency Medicine Fellowships

Lee¹,

Chernick²,

Sawaya³

et al. 2012

Pediatric Emergency Care

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“…The wide cost differences between QDU and hospitalized patients shown by our results (EUR 601.84 vs. 4,059.37) can be attributed mainly to staff costs, the hours worked, and the fixed costs of hospitalization (table 4), suggesting that diagnostic resources might be more effectively used by increasing QDU staff and, possibly, reducing internal medicine ward staff. In addition, studies have shown that care provided by medical residents may cost more than care not involving residents, with the difference sometimes being attributed to the resident’s lack of clinical judgment with respect to necessary and unnecessary procedures [35,36,37]. Ambulatory costs involving residents are almost double those attributed to attending specialists, mainly due to excessive diagnostic tests, especially magnetic resonance imaging and other radiology, more specialty consults per visit, twice as many hospitalizations, and more days of hospitalization [35].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Quick Diagnosis Units and Conventional Hospitalization for the Diagnosis of Cancer in Spain: A Descriptive Cohort Study

Bosch

Moreno²,

Ríos³

et al. 2012

Oncology

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Objective: Quick diagnosis units (QDUs) in Spain provide patients with severe disease who would normally require hospitalization with the prompt and effective diagnosis they deserve. We compared the value and cost of a QDU and of conventional hospitalization in assessing patients with cancer. Methods: In a descriptive cohort study, 169 patients with a final diagnosis of cancer were prospectively evaluated between November 2008 and April 2010. We also analyzed a retrospective cohort of 53 randomly selected patients with neoplasia hospitalized during this period. In addition to the variables time to diagnosis and length of stay, we compared the costs of both models using microcosting techniques. Results: Colorectal cancer was the commonest cancer (26%). QDU patients were younger than hospitalized patients (68.3 vs. 74.7 years; p < 0.05), and there were also significant differences with respect to the source of referral (p < 0.00001) and destination (p < 0.00001), but not regarding diagnosis (p > 0.34), reason for consultation (p > 0.26) and time to diagnosis/length of stay (Wilcoxon rank sum test, p > 0.05). The mean costs for hospitalization were EUR 4,059.37 compared with EUR 601.84 in the QDU. Conclusion: For diagnostic purposes, cancer patients can be managed similarly in a QDU or in in-hospital settings, but the QDU model seems to incur fewer costs.

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“…With the development of technology, high-fidelity simulators such as the Uro-Scopic Trainer and the ureteroscopy bench model from Limbs and Things have been utilized and are highly rated for the training of urology residents [16,17]. However, these models are costly [18] and many medical universities, including ours, are unable to afford them for undergraduate education, and therefore continue to use ordinary opaque plastic simulators. However, the opaque plastic simulator fails to provide a visual representation of the procedures internally, and some students are not able to form a clear idea of how the instruments work in the urinary tract.…”

Section: Discussionmentioning

confidence: 99%

Novel Transparent Urinary Tract Simulator Improves Teaching of Urological Operation Skills at a Single Institution

et al. 2015

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Objective: This randomized controlled study compared a novel transparent urinary tract simulator with the traditional opaque urinary tract simulator as an aid for efficiently teaching urological surgical procedures. Methods: Senior medical students were tested on their understanding of urological theory before and after lectures concerning urinary system disease. The students received operative training using the transparent urinary tract simulator (experimental group, n = 80) or the J3311 opaque plastic urinary tract simulator (control, n = 80), specifically in catheterization and retrograde double-J stent implantation. The operative training was followed by a skills test and student satisfaction survey. Results: The test scores for theory were similar between the two groups, before and after training. Students in the experimental group performed significantly better than those in the control group on the procedural skills test, and also had significantly better self-directed learning skills, analytical skills, and greater motivation to learn. Conclusion: During the initial step of training, the novel transparent urinary tract simulator significantly improved the efficiency of teaching urological procedural skills compared with the traditional opaque device.

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A review of cost‐effectiveness, cost‐containment and economics curricula in graduate medical education

Abstract: Cost-effectiveness curricula in graduate medical education are lacking and clearly needed.

Cited by 37 publications

References 68 publications

Evaluating Cost Awareness Education in US Pediatric Emergency Medicine Fellowships

Evaluating Cost Awareness Education in US Pediatric Emergency Medicine Fellowships

Comparison of Quick Diagnosis Units and Conventional Hospitalization for the Diagnosis of Cancer in Spain: A Descriptive Cohort Study

Novel Transparent Urinary Tract Simulator Improves Teaching of Urological Operation Skills at a Single Institution

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